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Nurses' Preparedness, Readiness, and Anxiety in Managing COVID-19 Pandemic

Chua BS, Cosmas G, Arsat N

Asia Pac J Public Health, 2021 07;33(5):564-570.
PMID: 33938289 DOI: 10.1177/10105395211012170

Nurses' preparedness has been very important for them to treat patients effectively during the COVID-19 pandemic and serve the community. Nurses provide a vital role in mitigating the effects of health crises. In order to help nurses better understand their skills, abilities, and knowledge, as well as the actions that they should take to manage care, the research aims of this study are to (1) investigate the level of preparedness, readiness, and anxiety among nurses during the COVID-19 outbreak in Sabah, Malaysia; (2) examine the effects of various differences in preparedness and readiness among nurses; and (3) examine the effect of COVID-19 preparedness on anxiety among nurses. The results revealed that the nurses were moderately competent in managing the COVID-19 care situation. Each of the 3 differentiating characteristics (age, work experience, and previous disaster experience) did not predict how nurses would manage COVID-19 preparedness significantly. Besides, we also found only 2 dimensions of preparedness (familiarity with epidemiology and surveillance and familiarity with psychological issues) significantly predicted nurses' anxiety levels. Familiarity with epidemiology and surveillance predicted nurses' anxiety positively; in contrast, familiarity with psychological issues negatively influenced nurses' anxiety.
PSYCHOMETRIC PROPERTIES OF THE EMERGENCY PREPAREDNESS INFORMATION QUESTIONNAIRE AMONG NURSES IN MALAYSIA

Seok CB, Cosmas G, Arsat N

J Nurs Meas, 2023 Jun 01;31(2):230-244.
PMID: 37277155 DOI: 10.1891/JNM-2021-0037

Background: Nurses' knowledge, skills and competencies are paramount for their preparedness to respond to emergency situations. This paper aims to test the psychometric properties and to determine the factor structure of the Emergency Preparedness Information Questionnaire (EPIQ) among nurses in Malaysia. Methods: There were 418 nurses in Sabah, Malaysia participated in this study. Besides, EPIQ, The Nurse Assessment of Readiness scale and the self-regulation scale were used to the validity of EPIQ. Results: The study revealed that the nine dimensions of EPIQ demonstrated very good reliability and construct validity. All the items showed good intercorrelation. The result of Exploratory Factor Analysis revealed a 3-factor solution model of EPIQ. The first factor was recategorized into four sub-factor due to the large number of the items loaded in this factor. Conclusions: The findings revealed that the EPIQ has strong psychometric properties. This scale can be used to measure nurses' preparedness in managing the emergency event in Malaysia.
Fulltext The role of debridement in wound bed preparation in chronic wound: A narrative review

Thomas DC, Tsu CL, Nain RA, Arsat N, Fun SS, Sahid Nik Lah NA

Ann Med Surg (Lond), 2021 Nov;71:102876.
PMID: 34745599 DOI: 10.1016/j.amsu.2021.102876

Objective: To provide an overview of the types of wound debridement and update the available scientific consensus on the effect of wound debridement.
Methods: The articles were searched through CINAHL, PubMed, Cochrane Library, and Medline database for relevant articles on all types of wound debridement. Articles included were all systematic review on the effectiveness of wound debridement-related outcome, published within the year 2017 until Aug 2021, in English.
Results: A total of seven scientific articles had been selected for review out of 318 screened. The authors reviewed a total of 318 titles and abstracts related to wound debridement effectiveness. Seven articles that were selected were narratively reviewed by two authors. The findings of the review were organized into autolytic, enzymatic, sharp, surgical, biological, and mechanical debridement methods and includes the advantages and disadvantages of each. The author further explored on the role of wound debridement according to wound bed preparation model. Articles were synthesized and organized based on the authors, year, total studies included in the systematic review, study range of year, total sample, debridement method, wound types, and findings.
Conclusion: Maggot debridement therapy showed a consistent finding in terms of effectiveness in debriding chronic wounds. The newer debridement method includes hydro-surgery, low-frequency ultrasonic and enzymatic collagenase debridement were getting more attention due to faster wound bed preparation and less painful. However, these newer method of debridements showed inconclusive findings and the patient safety was not clearly defined. A higher level of review is warranted in the future study.
Links between socio-demographic characteristics and body mass index to colorectal cancer in North Borneo, Malaysia: A case-control study

Hamsah E, Robinson F, Hayati F, Arsat N, Kaur N, Sriram RK, et al.

Med J Malaysia, 2023 Dec;78(7):876-882.
PMID: 38159921

INTRODUCTION: The fourth leading cause of cancer-related mortality and morbidity worldwide is colorectal cancer (CRC). Numerous reasons have contributed to the massive rise in CRC cases, for which Asian nations differ significantly in terms of risk incidence rates. The objectives of this study were to, first, identify the socio-demographic characteristics of those of North Borneo ethnicity and body mass index (BMI) and, second, determine the association of these factors with CRC. This research will contribute to preventing this form of cancer.
MATERIALS AND METHODS: This study is an analysis of a matched case-control study with a ratio of 1:2. The case group contained 206 respondents, and the control group contained 412. All CRC cases were confirmed with the histological results. The control group was matched for links between age, sex and ethnicity with CRC. The Statistical Package for Social Sciences Statistics (SPSS) IBM version 28.0 was used to conduct descriptive analysis using chi-squared testing and simple logistic regression. The statistical significance was P < 0.05.
RESULT: Overall, 618 respondents took part in this survey, of which 256 (41.4%) were female and 362 (58.6%) were male. The maximum age was 76, with a mean age ± SD of 53.17 ± 11.4. Those of Bajau ethnicity comprised 24.6% (152) of the population, followed by Dusun with 22.8% (141), Kadazan with 17.6% (109%), other North Borneo ethnic groups with 15.5% (96), Bugis with 9.7% (60), Brunei with 4.4% (27) and other predominant races with 5.3% (33). Regression analyses revealed that the incidence of CRC in North Borneo, Malaysia, was substantially correlated with income, occupation, other linked diseases and BMI.
CONCLUSION: Various risk factors are linked to CRC, based on the findings related to socio-demographic characteristics and BMI. Therefore, to lower the nationwide prevalence of CRC, national public health campaigns should include collaboration with the regional authorities to highlight the incidence and risk factors of CRC based on ethnicity.
The effect of work setting and demographic factors on caring behaviour among nurses in the public hospitals and public health services, Sabah, Malaysia

Arsat N, Lah NASN, Thomas DC, Soong SF, Chong LT, Sawatan W, et al.

BMC Nurs, 2023 Jun 08;22(1):194.
PMID: 37291559 DOI: 10.1186/s12912-023-01359-w

BACKGROUND: The nursing profession's uniqueness contributes to the development of knowledge, experience, age, education, economy, and position, as well as a unique gender role. Thus, the development and advancement of demographic characteristics of nurses while in this profession influences their caring behavior.
OBJECTIVE: The purpose of this study was to determine the effect of work setting and demographic factors on nurses' caring behaviour, as well as the differences in nurses' caring behaviour based on demographic factors between nurses in public hospitals and nurses in public health services in Sabah, Malaysia.
METHODS: This research is a cross-sectional study using the survey method. Data were collected from 3,532 nurses (88.3% response rate) in public hospitals and public health services within Sabah, Malaysia. Data were analysed using two-way ANOVA.
RESULTS: The two-way ANOVA test revealed no significant impact of the work setting on CB, nor was there a notable interaction between the work setting and demographic factors influencing nurses' CB. However, demographic factors such as gender, age, education, economic status, position, and experience had a significant effect on CB.
CONCLUSION: The present research has provided convergent evidence on the effect of demographic factors on nurses caring behavior and the differences in caring behavior based on demographic factors among nurses in public hospitals and public health services in Sabah, Malaysia.
Fulltext The Versatility of Polymeric Materials as Self-Healing Agents for Various Types of Applications: A Review

Nik Md Noordin Kahar NNF, Osman AF, Alosime E, Arsat N, Mohammad Azman NA, Syamsir A, et al.

Polymers (Basel), 2021 Apr 07;13(8).
PMID: 33917177 DOI: 10.3390/polym13081194

The versatility of polymeric materials as healing agents to prevent any structure failure and their ability to restore their initial mechanical properties has attracted interest from many researchers. Various applications of the self-healing polymeric materials are explored in this paper. The mechanism of self-healing, which includes the extrinsic and intrinsic approaches for each of the applications, is examined. The extrinsic mechanism involves the introduction of external healing agents such as microcapsules and vascular networks into the system. Meanwhile, the intrinsic mechanism refers to the inherent reversibility of the molecular interaction of the polymer matrix, which is triggered by the external stimuli. Both self-healing mechanisms have shown a significant impact on the cracked properties of the damaged sites. This paper also presents the different types of self-healing polymeric materials applied in various applications, which include electronics, coating, aerospace, medicals, and construction fields. It is expected that this review gives a significantly broader idea of self-healing polymeric materials and their healing mechanisms in various types of applications.